Individual
MRS. KIRBY BROWN REINECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 OAKSIDE CT, SUITE H, CANTON, GA 30114-2471
(678) 880-8770
(770) 213-4418
Mailing address
120 OAKSIDE CT, SUITE H, CANTON, GA 30114-2471
(678) 880-8770
(770) 213-4418
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5775
GA
Other
Enumeration date
02/09/2010
Last updated
09/29/2016
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